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BUILDING PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION: (P)425-257-8810 1 (E)PermitServices@everettwa.gov l(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 2020 Lake Heights Drive (Building H) PARCEL#: 28052900202400 <br /> cITY Everett STATE WA z,p 98208 <br /> Sul E/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential): Waterford Apartments <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Waterford Apartments LLC <br /> OWNER MAILING ADDRESS: STREET 18006 Sky Park CIR Ste 200 <br /> CITY Irvine STATE CA ZIP 92612 <br /> OWNER PHONE: 949-676-1 880 (Brent Fabian) OWNER EMAIL: bfabian@ipgliving.com <br /> CONTRACTOR COMPANY NAME: Polen Property Services LLC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): POLEN PS822JF I CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 63884 <br /> CONTRACTOR ADDRESS: STIEET4104 SW 327TH PL <br /> CITY Federal Way STATE WA ZIP 98023 <br /> CONTRACTOR PHONE: 206-841-0881 1CONTRACTOR EMAIL: polen.office@polenpropertyservices.com <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-681-001 cJ <br /> Angelica Juarez CONTACT EMAIL: Angelica@polenpropertyservices.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $37,104.32 ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUILDING: Apartment Community <br /> PROPOSED USE OF BUILDING: <br /> HEAT SOURCE: [-]Gas DElectric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU OMulti-Family-#Units:200 ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition [-]Remodel [-]Repair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ORe-roof ❑Exterior Alteration [-]Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK:Remove Two (2) layers of roofing and dispose of roofing at an offsite facility. Install <br /> synthetic underlayment. Install 26 ga. painted metal flashing where applicable. This <br /> includes roof-to-wall, 2" drip edge metal, and 4" starter metal. Install Malarkey Smart <br /> Start starter shingle. Install Malarkey Highlander laminated composition shingle. Install <br /> Malarkey Ridge Flex accessory hip and ridge cap shingle. Replace attic roof vents with <br /> ridge vents. Install new no caulk pipe flashings. Replace chimney and siding <br /> step-flashing. <br /> ACKNOWLEDGEMENT.I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.I am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT#08/19/2024 B2408-030 <br /> Owner/Authorized Agen?ign, ture Date (Revised 412112022) <br /> V <br />